Loading...
HomeMy Public PortalAbout5322 PAL MAL AVE_Plumbing__ 7"667_M17 12,59 • II�NAPPLICATION FOR PLUMBING P RMIT DEP&W OF7 D ON ■µmy p BDaDnaa LAMdI OUNTY BNOINEEERr ADDREW /� L WILLIAM A JHNBEN Burr of YUILDIMD � IV FOR APPLICANT TO PIIS IN NIAREST NUMBER FIXTURE OR ITEM CROW ST OWNER waTES cLoea MAIL HATH TOB ADDRESS CRY O HEOWES CONTRACTOR t LAVATORY sm ADDRESS 3 9 DISHWASIM CRY79 NOPCOUNTY O CTOR ry LAUNDRY TOB REGISTRATION NO J CLOTM WABE= DIBTNICTNO GROUP Z,(ONE.WATER EYJITEB mE4an SYSTEM INDUS'WASTE APPROVAL ON RECON v a N m e APPROVALS DATtK INSPECTOR S SIGNATURE PERMIT $ 2100 UNDER BLAB WORK TOTAL FEE fl ROUGH PLUMBING f"f' GAS PIPING 1 HURST ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LASTS REGULATING PLUMBING HOT WATER HEATER I He REST CERTIFY THAT 1 AM PROPERLY 8E919711M AND/OR PLUMBING FIXTURES LIClNSED A3 REQUIRED ST LOS ANOSLU ONTY AND STATE OF GA8 TEST /7 G CLO CALIFORNIA OR THAT 1 AN TgHK LE Ne OF E A30116 DEICRISED RESIDENTIAL PE r UTILITYCO NOTIFIED SIGNATURE ✓l//AL/7. OF PERMITTRILPIMA 5 Y/QQ �p m• VALIDATION ROBERT A WOOD. / a N 0 CA1e SUPERVISING MECHANICAL ENG R . J — LA06254 -� SEP 12 5 D 900 "f